MAX Video Streaming Request Form


Please provide the required information ( • ) below. Your request will be processed in the order in which it is received but may be delayed if information is incomplete. Please allow up to 2 weeks for delivery. For assistance you may call the Circulation Department at ext. 1392 or email mvs@bridgew.edu.


Instructor:
Department:
BSU E-mail: (Confirmation email will be sent here.)
Campus Ext:

VIDEO(S)

1. Title:       Call Number (If not library-owned, type Personal)
Course #
Start Date (MM/DD/YY):
End Date (MM/DD/YY):  (If personal video, viewing period is limited to 10 days only)
  If only part of the video is needed, please indicate which section either by scene number or timing:

2. Title:       Call Number (If not library-owned, type Personal)
Course #
Start Date (MM/DD/YY):
End Date (MM/DD/YY):  (If personal video, viewing period is limited to 10 days only)
  If only part of the video is needed, please indicate which section either by scene number or timing:

3. Title:       Call Number (If not library-owned, type Personal)
Course #
Start Date (MM/DD/YY):
End Date (MM/DD/YY):  (If personal video, viewing period is limited to 10 days only)
  If only part of the video is needed, please indicate which section either by scene number or timing:

4. Title:       Call Number (If not library-owned, type Personal)
Course #
Start Date (MM/DD/YY):
End Date (MM/DD/YY):  (If personal video, viewing period is limited to 10 days only)
  If only part of the video is needed, please indicate which section either by scene number or timing:

5. Title:       Call Number (If not library-owned, type Personal)
Course #
Start Date (MM/DD/YY):
End Date (MM/DD/YY):  (If personal video, viewing period is limited to 10 days only)
  If only part of the video is needed, please indicate which section either by scene number or timing:

6. Title:       Call Number (If not library-owned, type Personal)
Course #
Start Date (MM/DD/YY):
End Date (MM/DD/YY):  (If personal video, viewing period is limited to 10 days only)
  If only part of the video is needed, please indicate which section either by scene number or timing:

7. Title:       Call Number (If not library-owned, type Personal)
Course #
Start Date (MM/DD/YY):
End Date (MM/DD/YY):  (If personal video, viewing period is limited to 10 days only)
  If only part of the video is needed, please indicate which section either by scene number or timing:

8. Title:       Call Number (If not library-owned, type Personal)
Course #
Start Date (MM/DD/YY):
End Date (MM/DD/YY):  (If personal video, viewing period is limited to 10 days only)
  If only part of the video is needed, please indicate which section either by scene number or timing:

9. Title:       Call Number (If not library-owned, type Personal)
Course #
Start Date (MM/DD/YY):
End Date (MM/DD/YY):  (If personal video, viewing period is limited to 10 days only)
  If only part of the video is needed, please indicate which section either by scene number or timing:

10. Title:       Call Number (If not library-owned, type Personal)
Course #
Start Date (MM/DD/YY):
End Date (MM/DD/YY):  (If personal video, viewing period is limited to 10 days only)
  If only part of the video is needed, please indicate which section either by scene number or timing:

NOTES

  • Only films that are required for your course may be made available.
  • Film URL’s will be emailed to you, and must then be placed on a Blackboard or Moodle course management site.
  • Personal videos can be made available for a maximum of 10 consecutive days and for one time only. Maxwell Library assumes no responsibility for personal property that is encoded for the Max Video Streaming system.
  • Streamed content may be of poorer quality than the original video.
  • This form does not place videos on Course Reserve. You may do that here: Course Reserve Request Form.

Submission of this form indicates acceptance of these conditions and any other stated conditions within this form or the Max Video Streaming Policy.